An algorithm for maxillectomy defect reconstruction.
A maxillectomy defect creates a communication from oral cavity to nasal cavity that may extend to the orbit. Functional deglutition and speech problems with a significant soft tissue deficit ensue. This paper defines the reconstruction options for the spectrum of inferior partial maxillectomy defects to midface-orbital exonerations. Treatment protocols from maxillectomy patients treated in January 1991 to February 1996 at a major tertiary care institution were reviewed (n = 108). An ascension of care from dental obturator, nonvascularized graft, local flap, regional flap, and free tissue grafts (n = 28) is described. These data and experience were organized to provide a treatment algorithm to assist in presurgical planning for maxillectomy reconstruction.
Davison
S P
SP
Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Sherris
D A
DA
Meland
N B
NB
D000465:Algorithms; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008443:Maxillary Sinus / Q000601:surgery*; D008444:Maxillary Sinus Neoplasms / Q000601:surgery*; D019931:Maxillofacial Prosthesis Implantation; D008875:Middle Aged; D010158:Palatal Obturators; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps